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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ROGER WILLIAM BLACK, D.D.S.

Active

DR. ROGER WILLIAM BLACK, D.D.S. is a Dentist healthcare provider located in BERKLEY, Michigan. NPI 1104806389 is currently active in the NPPES registry. Verify at CMS.

Dentist · BERKLEY, MI

Registration Details

NPI Number
1104806389
Provider Type
Individual
Gender
Male
NPI Issued
Jan 22, 2006 (20.376740206133 yrs)
Last Updated
Jul 8, 2007
License
10634 (MI)

Practice Information

Address
28969 WOODWARD AVE
BERKLEY, MI, 480720916
Browse MI providers · Browse ZIP 48072
Phone
2483985545
Fax
2483986153
Primary Specialty
Dentist
122300000X

Other Dentist Providers in BERKLEY, MI

Name Credential NPI
DR. SAMER G. SHAMOON D.D.S. 1770535981
DR. PIERRE CHARLES BEAUDET DDS 1891708103
DR. NAJAH D ROUMAYAH D.D.S. 1255419958
DR. SARA ELIZABETH RUDDY D.D.S. 1922187582
DR. CHRISTOPHER JAMES DOLLAR DDS 1528252095
DIORA CHRISTINA JOUJA D.D.S. 1710378211
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.